[hvac]

I would say that this is "surprising" because the AMA (and many other mental health groups) were predicting a huge increase in suicides, which never happened. Later on, the "people are killing themselves" narrative became the accepted dogma, sans evidence. I don't remember much talk about suicidal ideation, it was mainly (understandably) fixated on the suicide rate.

An increase in actual suicide attempts is different from an increase in self-reported suicide attempts, and I'm not sure how you would reconcile the former with a decrease/stagnation in the suicide rate. If more people are deciding to reach out/ask for help I would expect a similar pattern.